Provider Demographics
NPI:1154140416
Name:TASSY, CHILANDE
Entity type:Individual
Prefix:
First Name:CHILANDE
Middle Name:
Last Name:TASSY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:361 NW 38TH PL
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-2744
Mailing Address - Country:US
Mailing Address - Phone:786-916-0884
Mailing Address - Fax:
Practice Address - Street 1:1304 SE 2ND AVE
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-6708
Practice Address - Country:US
Practice Address - Phone:786-916-0884
Practice Address - Fax:954-827-2201
Is Sole Proprietor?:No
Enumeration Date:2024-10-04
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No372600000XNursing Service Related ProvidersAdult Companion
No374U00000XNursing Service Related ProvidersHome Health Aide